Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1989
NPI: 1528075751
Practice Locations (2)
29525 CANWOOD ST, SUITE 305
Agoura Hills, CA 913014233
29525 CANWOOD ST, SUITE 305
AGOURA HILLS, CA 913011597
Source: CMS National Downloadable File, September 2026.